Individual
JOHN LEE VANDE GUCHTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3700 CALIFORNIA ST, SUITE B555, SAN FRANCISCO, CA 94118-1618
(415) 600-0750
Mailing address
PO BOX 254947, SACRAMENTO, CA 95865-4947
(916) 854-6975
(916) 854-6864
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
G55995
CA
Other
Enumeration date
07/24/2006
Last updated
07/08/2007
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